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Related Experiment Video

Updated: Jun 27, 2025

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
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Effect of Routine Child Physical Abuse Screening Tool on Emergency Department Efficiency.

Niti Shahi, Maxene Meier1, Marina L Reppucci2

  • 1The Center for Research in Outcomes for Children's Surgery, University of Colorado School of Medicine, Aurora, CO.

Pediatric Emergency Care
|May 7, 2024
PubMed
Summary

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Articles linked to this work by shared authors, journal, and citation graph.

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Corrigendum to "Early childhood risk of physical abuse with isolated subconjunctival hemorrhages" [Child Abuse & Neglect (2026) 1-11 (108104)].

Child abuse & neglect·2026
Same authorSame journal

Performance and Yield of Retinal Examinations in Cases of Suspected Physical Abuse Without Intracranial Injury.

Pediatric emergency care·2026
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Fast MRI for Pediatric Traumatic Brain Injury: What Findings Are Missed Compared with Routine MRI?

AJNR. American journal of neuroradiology·2026
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Early childhood risk of physical abuse with isolated subconjunctival hemorrhages.

Child abuse & neglect·2026
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Child Physical Abuse During the COVID-19 Pandemic Across Levels of Community Advantage.

Academic pediatrics·2026
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Intracranial Injuries in Asymptomatic Infants Undergoing Subspecialty Evaluation for Physical Abuse: A Multicenter Study.

Academic pediatrics·2026

Routine screening for child physical abuse in emergency departments (EDs) effectively identifies at-risk children. This vital screening process does not negatively impact ED workflow or patient length of stay.

Area of Science:

  • Pediatrics
  • Emergency Medicine
  • Child Abuse Prevention

Background:

  • Physical abuse is a major cause of child morbidity and mortality.
  • Early recognition through routine screening in emergency departments (EDs) is proposed but its workflow impact is unknown.

Purpose of the Study:

  • To assess the feasibility of routine child physical abuse screening in general EDs.
  • To evaluate the impact of this screening on ED workflow, specifically length of stay.

Main Methods:

  • A 2-question screening tool was implemented for children under 6 years old across 27 general EDs.
  • Data were compared for 6 months pre- and post-implementation, analyzing ED length of stay.

Main Results:

  • Screening was completed in 78.9% of eligible visits, with 0.7% screening positive.

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  • Mean ED length of stay remained statistically unchanged (95.9 vs. 95.2 minutes).
  • Screening did not significantly affect resource utilization or overall ED length of stay.

    • Conclusions:

    • Routine physical abuse screening is feasible and identifies high-risk children without increasing ED length of stay or resource use.
    • Future research should examine rates of subsequent serious physical abuse in screened versus unscreened children.